FORM 1023-EZ for IMMORTALITY ORG

Field Data
EIN 82-1627497
Case Number EO-2017145-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMMORTALITY ORG
Organization’s Mailing Address 24858 WHITE PLAINS DR
City NOVI
State MI
ZIP 48374-3159
Accounting period End 12
Primary contact name ANDREW YING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW YING
CHAIRMAN, CEO
24858 WHITE PLAINS DR
NOVI MI 48374-3159

Officer/Director/Trustee Two

BENJAMIN RATHI
DIRECTOR, COO
24647 NEPAVINE DR
NOVI MI 48374-2556

Officer/Director/Trustee Three

ALICE YING
DIRECTOR
24858 WHITE PLAINS DR
NOVI MI 48374-3159

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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